HIGH YIELDS

Question 1

UTI in adults presents how?

Answer 1

acute cystitis in women
acute pyelonephritis in women
UTI in men
catheter associated UTI

Question 2

how is UTI classifies now?

Answer 2

acute simple cystitis
acute complicated UTI
special populations
catheter associated UTI

Question 3

for acute, uncomplicated cystitis; cystitis equals?

Answer 3

lower UTI

Question 4

pathogenesis for UTI takes on what route?

Answer 4

ascending route

women: short distance urethra to bladder

proximity of urethra to anus

hormonal factors

Question 5

this type of bacterium is mostly responsible for UTI?

Answer 5

Uropathogenic E coli

Question 6

risk factors?

Answer 6

decreased urine flow
increased colonization
increased ascent of pathogens
prior episodes of cystitis

Question 7

host factors associated with UTI?

Answer 7

DM:glycosuria
sickle cell disease
aging
HIV
pregnancy
renal transplant recipients
spinal cord injured

Question 8

types of acute cystitis in women?

what is shared in both?

Answer 8

uncomplicated
complicated

for both: no fever, no flank pain, no costovertebral angle (CVA) tenderness on exam

Question 9

factors contributing to complicated UTI?

Answer 9

obstruction
vesicoureteral reflux
foreign body
recent invasive urologic procedure
renal failure
surgical ileal conduit
post void residual > 100 ml

Question 10

uncomplicated acute cystitis means?

Answer 10

young, healthy, non pregnant female

Question 11

for acute uncomplicated cystitis, what is the most common pathogen 80% of the time for outpatient UTIs?

Answer 11

E. Coli

Question 12

this is a pathogen common in sexually active younger women?

Answer 12

staphylococcus saprophyticus

Question 13

clinical presentation for cystitis?

elderly?

Answer 13

dysuria, urinary frequency, urgency and suprapubic pain, usually 90% probability of bacterial cystitis

dysuria<1 week, hematuria, suprapubic pain or tenderness, new incontinence

Question 14

correlation of altered mental status with bacteriuria and pyuria?

Answer 14

poor, and treatment for UTIs did not improve mental or functional status in several studies

Question 15

cystitis diagnosis?

Answer 15

urinalysis not always necessary

leukocyte esterase detects WBCs in urine

nitrite positivity

positive dipstick

urinalysis

clean catch urine

significant WBCs

pyuria

Question 16

can urine culture confirm diagnosis in some cases

Answer 16

yes, ID pathogen and antimicrobial susceptibility; most are sent to the micro lab and are negative

Question 17

can you have a UTI with a culture < 10^5

Answer 17

yes

Question 18

every woman with UTI symptoms needs a culture?

Answer 18

nope

indications:
complicated cystitis
unusual presentation
recurrent UTIs
failed ABx
symptoms more than 1 week
increased risk for multi drug resistant bacteria